conclusions our study demonstrated the efficacy of rfviia in controlling postoperative bleeding in redo cardiac valve surgeries regarding subsequent blood loss and transfusion requirement; however, outcome results remains to be defined. results study groups showed no difference regarding baseline variables. three patients in rfviia group (16.67%) and 13 in placebo group (72.23%) received blood ...

Pleural effusion (PLEFF), mostly caused by volume overload, congestive heart failure, and pleuropulmonary infection, is a common condition in critical care patients. Thoracic ultrasound (TUS) helps clinicians not only to visualize pleural effusion, but also to distinguish between the different types. Furthermore, TUS is essential during thoracentesis and chest tube drainage as it increases safe...

Air leaks are a common problem after pulmonary resection and can be a source of significant morbidity and mortality. The authors describe the case of a 68-year-old male patient who presented with a persistent air-leak after pulmonary resection. Watchful waiting, surgical procedures, as well as medical therapy like pleurodesis and implantation of endobronchial one-way valves on the bronchial seg...

catheter pleurodesis in the treatment of malignant effusions. Chest 1986; 89:482S 6 Mitchell ME, Avery JA, Alberts WM, Goldman AL. Drainage of pleural effusions with a percutaneous pneumothorax catheter. Chest 1986; 89:482S 7 Sahn SA, Good JT. The effect ofcommon sclerosing agents on the rabbit pleural space. Am Rev Respir Dis 1981; 124:65-67 8 Cannon WB, Wolfe WG. Chest tube placement for pneu...

Background: Tube thoracostomy is an essential skill, and in thoracic trauma can be lifesaving. Yet a complication rate of up to 30% has been widely reported in the literature. Our primary aim was to look at the complication rate associated with chest drain insertion in trauma patients at our institution. Our secondary objectives included indications for tube thoracostomy and the differences in ...

BACKGROUND Prolonged pleural effusion following Fontan operation is common and increases morbidity and hospital length of stay. Vasopressin (VP), a neurohypophysial hormone, has numerous effects on the cardiovascular system. The most notable is increased peripheral vascular resistance, but it may also reduce capillary leakage by tightening endothelial intercellular junctions and reducing capill...

introduction: catamenial pneumothorax is a rare disease caused by presence of endometrial tissues in chest cavity  showing itself with pneumothorax 24 to 48 hours after  the beginning of menstrual period .  a case of catamenial pneumothorax is presented here. case presentation: the case was a 17-year-old young woman admitted to hospital with symptoms and signs including chest pain, dyspnea, tac...

OBJECTIVES To (1) determine the demographics of Chinese children admitted with primary spontaneous pneumothorax, (2) suggest how they may be quantified radiologically, (3) compare the difference in outcomes after their primary management by thoracentesis and chest tube insertion, and (4) review the local experience with surgical intervention for such children. DESIGN Retrospective, descriptiv...

BACKGROUND Previous studies have shown that a chronic indwelling pleural catheter (PC) safely and effectively relieved dyspnea, maintained quality of life, and reduced hospitalization in patients with malignant pleural effusions. Outpatient management of malignant pleural effusion with a PC may reduce length of stay and early (7-day) charges compared with inpatient management with chest tube an...